JEFFREY KENNETH DESPOT

REXBURG, ID
NPI1750019675
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  TSLP-5432)
Enumeration Date2022-08-09
Last Update Date2022-08-09
Business Address
JEFFREY KENNETH DESPOT MS CF-SLP
859 S YELLOWSTONE HWY
REXBURG, ID 83440-5293
Phone number: 208-356-7643
Mailing Address
JEFFREY KENNETH DESPOT MS CF-SLP
437 DUG OUT WAY
IDAHO FALLS, ID 83401-4266
Phone number: 208-569-2022
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